GREGORY T MOSKOP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

GREGORY T

Last Name

MOSKOP

Suffix

Business Name

GREGORY T MOSKOP MD

Original Issue Date

04/29/1987

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023